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MRS. TABITHA JEANANN FLEENOR APRN
NPI 1609202837
Nurse Practitioner - Family in Lexington, KY

Active since September 19, 2013PECOS Enrolled
1060 GOODWIN DR STE 110, LEXINGTON, KY 40505(859) 288-2425(859) 721-3918 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2024, May 22, 2019, Mar 30, 2016 (3 updates tracked since 2016).

About Mrs. Tabitha Jeanann Fleenor Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TABITHA JEANANN FLEENOR APRN (NPI 1609202837) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3008315) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609202837
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TABITHA JEANANN FLEENORCredential: APRN
Location Address1060 GOODWIN DR STE 110Lexington, KY 40505-3824
Mailing Address496 Southland DrLexington, KY 40503-1827 · (859) 288-2392 · Fax (859) 721-3918
Phone(859) 288-2425
Fax(859) 721-3918
Sole ProprietorNo
Enumeration DateSeptember 19, 2013
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1609202837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3008315
1060 GOODWIN DR STE 110, Lexington, KY 40505
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100270600KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tabitha Jeanann Fleenor Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tabitha Fleenor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Vista Of The Bluegrass Inc
2.2 mi
Mental Health (Including Community Mental Health Center)
627 W 4TH ST, ALLEN BLDG.
Lexington, KY 40508
  • Reassigned Medicare billing, Kentucky enrollment
  • 141 clinicians in this Medicare group
NPI 1780624668 (859) 253-1686
Concertocare Medical Group Of Tennessee, PC
185 mi
Internal Medicine
3200 W END AVE STE 500
Nashville, TN 37203
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1780423863 (877) 597-1440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON LUNSFORD APRN
Nurse Practitioner (Family)
1060 GOODWIN DR STE 110
LEXINGTON, KY 40505
Fayette County (859) 288-2425
MR. DONALD WAINSCOTT II PA-C
Physician Assistant
1060 GOODWIN DR STE 110
LEXINGTON, KY 40505
Fayette County (859) 288-2425
CECELIA HELENA BAXTER APRN
Nurse Practitioner (Family)
1060 GOODWIN DR STE 110
LEXINGTON, KY 40505
Fayette County (859) 288-2425
HEALTHFIRST BLUEGRASS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1060 GOODWIN DR STE 110
LEXINGTON, KY 40505
Fayette County (859) 288-2425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabitha Fleenor's NPI number?

The NPI number for Tabitha Fleenor is 1609202837. It was assigned to this individual provider in the NPPES registry on September 19, 2013.

Where is Tabitha Fleenor located?

Tabitha Fleenor practices at 1060 Goodwin Dr Ste 110, Lexington, KY 40505. The listed phone number is (859) 288-2425.

What is Tabitha Fleenor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tabitha Fleenor enrolled in Medicare?

Yes. Tabitha Fleenor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tabitha Fleenor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Fleenor reassigns Medicare benefits to 2 organizations: New Vista Of The Bluegrass Inc (Lexington, KY) and Concertocare Medical Group Of Tennessee, PC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tabitha Fleenor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tabitha Fleenor was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.